Active NPI
Greensboro Nephrology
- Nephrology Physician
- Greensboro, GA
National Provider Identifier
1396733465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- GREENSBORO NEPHROLOGY
- Practice address
- 1220 Siloam Rd
Greensboro, GA 30642-2810 - Phone
- (706) 433-0683
- Fax
- (706) 369-1478
- NPI assigned
- Oct 12, 2005
- Last updated
- Nov 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristy W Duncan
- Title
- Billing Specialist
- Phone
- (706) 433-0683
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1220 Siloam Rd
Greensboro, GA 30642-2810
Mailing address
PO Box 390
Greensboro, GA 30642-0390
Phone (706) 433-0683
National Provider Directory
National Provider DirectoryLocations
1220 Siloam Rd
Greensboro, GA 30642
Phone (706) 453-7222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196121600000",
"number": "1396733465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 390",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306420390",
"telephone_number": "706-433-0683",
"fax_number": "706-369-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 SILOAM RD",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306422810",
"telephone_number": "706-433-0683",
"fax_number": "706-369-1478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENSBORO NEPHROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-12",
"last_updated": "2007-11-27",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "KRISTY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "706-433-0683",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, GA
- Greene County Health Department
- Greene County Health Department
- Greene County Nursing Center LLC (Legacy Health and Rehabilitation)
- Greene County Senior Center
- Greensboro Dialysis Facility, L.L.C.
- Greensboro Pharmacy LLC
- Jeana Renee' Griffith, PH.D.
- Karen E Gunter, FNP-C
- Lauren Ivey Hacker, OD
- Tiffany Hall, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.